by
Dr. A. Ananie Arkutu, FRCOG
Illustrations by
Regina C. Faul-Doyle
Design by
Smart Design Inc.
Layout and production by
Timothy Showalter
Published by
Family Care International,
Inc.
588 Broadway, Suite 503, New York, NY 10012, USA
Tel:
(212) 941-5300 Fax: (212) 941-5563
Telex: 210474
This book is dedicated to my wife, Joy, and to my daughters, Ayele, Norvishi, and Senanu.
A very special thanks to Ann Starrs for her tireless and invaluable assistance with editing, testing, and producing this publication, and for her encouragement and support. My thanks also to Caryn Levitt, Rikka Trangsrud, and other staff at FCI for their help in the production and review process. Finally, I would like to express my appreciation to the following people for their cooperation and contributions to the publication of this book:
Editorial review of text and illustrations by:
Joan Combellick, C.N.M. Sylvia Deganus, M.D., Komfo-Anokye
Teaching Hospital, Kumasi, Ghana
Betty Farrell, American College of
Nurse-Midwives
Staff from the Family Planning Association of Kenya
(FPAK)
Jane Ferguson, Adolescent Health Programme, World Health
Organization Barbara Kwast, MotherCare
J.M. Kyallo, African Medical
and Research Foundation (AMREF), Nairobi, Kenya
Margaret Marshall,
American College of Nurse-Midwives
Mary Memia, African Medical and
Research Foundation (AMREF), Nairobi, Kenya
Susan Murray, Institute of
Child Health, University of London
Elizabeth Odai, Senior Nursing
Officer, Dodowa Rural Health Post, Ghana
Chinyelu Okafor, University
of Nigeria/Enugu Campus, Nigeria
Rahna Rizzuto
Joyce Safe,
Chief Nursing Officer, Ministry of Health, Tanzania
Assistance in pre-testing was provided by:
Botswana:
Mabel Magowe, Midwifery Training Programme, Institute of Health Sciences, Gaborone Staff at United Nations Children's Fund, Gaborone Gladys Mogapi and other staff at Princess Marina Hospital, Gaborone
Ghana:
Mrs. Kate Agyei-Sakyi, Midwifery Training School,
Koforidua
Julianna Lamptey, Adabraka Polyclinic, Accra
Dr.
Henrietta Odoi-Agyarko and staff at the Maternal Child Health/Family Planning
Unit, Ministry of Health, Accra
Stella Nyinah, Safe Motherhood
Programme Officer, UNICEF/Accra
Gertrude Owusu and other staff from
the Health Education Unit, Ministry of Health, Accra
Staff at Prampram
Health Post, Dangme-West District
Members of the Safe Motherhood Task
Force
Dr. J. Taylor, Department of Obstetrics/Gynaecology, Central
Hospital, Koforidua
Kenya:
Staff at the following clinics of the Family Planning
Association of Kenya (FPAK):
Thika, Ribiero, Eastleigh, Phoenix House,
and Nakuru
Florence Manguyu and staff, Kenya Medical Women's
Association
Staff at Training Unit, Ministry of Health,
Nairobi
Staff at National Council of Churches of Kenya (NCCK)
Nigeria:
Safe Motherhood Officers, Health Zone A
Mrs.
Augustine Ifesma Ezeilo, Abakpa-Nike Health Centre, Enugu
R.E.N. Ugwu,
State MCH/FP Coordinator, Ministry of Health, Enugu
Staff at Uwani
Health Centre, Enugu-South
Dr. A. Ananie Arkutu works with the United Nations
Population Fund (UNFPA).
The views and opinions expressed in this book
are those of the author and not necessarily those of UNFPA.
© Family Care International Inc., 1995. Second Edition. Printed in the USA.
Not-for-profit organisations may use any of the material in this publication freely as long as it is not used for commercial purposes. FCI would appreciate acknowledgements and copies when possible.
Photo Credits (cover): UNICEF/90-061/Nigeria/Sean Sprague,
UNICEF/90-046/Mauritania/Lauren Goodsmith,
UNICEF/86-022/Kenya/Yann
Gamblin, UNICEF/89-033/Mozambique/John Isaac,
UN Photo Library
11528621 Burkina Faso/Kay
Muldoon.